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    Clinical Program Management Director - Boise, United States - Idaho State Job Bank

    Idaho State Job Bank
    Idaho State Job Bank Boise, United States

    4 weeks ago

    Idaho State Job Bank background
    Description
    Clinical Program Management Director
    • Remote at Prime Therapeutics in Boise, Idaho, United States Job Description Our work matters.
    We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make. Job Posting Title Clinical Program Management Director
    • Remote Job Description The Clinical Program Management Director is responsible for the overall coordination and leadership of clinical pharmacy programs for their Blue Cross and Blue Shield (BCBS) clients and serves as the primary clinical relationship manager.
    This role's responsibilities may include the management of drug formulary, Utilization Management (UM) programs, benefit design strategies, and other drug therapy related products and services offered by Prime.

    As the primary point of contact for their designated BCBS clients, the director promotes and recommends Prime standard offerings to meet client requirements and builds strong relationships with key clinical stakeholders through effective consultative services.

    Responsibilities + Coordinate and lead the development, maintenance, and implementation of client specific clinical pharmacy programs in tandem with key internal business partners; programs may include clinical portions of internal and external client planning documents and/or UM program implementations and formulary management (planning P&T agenda and client recommendations, maintenance of formulary information in provider and member materials/communications, distribution of formulary publications/communications) + Establish a relationship with the client's clinical stakeholders through representation of Prime on the client's internal committees addressing drug therapy, medical, and clinical pharmacy benefit management related issues + Coordinate efforts with Prime's Pharmaceutical Trade Relations team when developing programs and relationships with pharmaceutical companies + May provide work direction to a Clinical Program Manager or Clinical Program Specialist + Provide consultation and recommendations to the client regarding Prime standard clinical program opportunities, formulary recommendations, benefit design recommendations, and other research applications and opportunities beneficial or of interest to the plan + Provide clinical guidance and support for client's Health Insurance Marketplace business + Manage incoming requests for information from the plan regarding drug therapy, formulary and clinical program related issues and partner with reporting and analytics team to pr To view full details and how to apply, please login or create a Job Seeker account
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